Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $357 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
216
Rank: 170th
out of 265 providers in this state & specialty
Services
Performed
611
Rank: 159th
out of 265 providers in this state & specialty
Avg Services
Per Patient
2.8 This Provider
Avg 3
Total Paid
by Medicare
$125K
Rank: 94th
out of 265 providers in this state & specialty
Avg Paid
Per Patient
$577 This Provider is in the top 10%
Avg $357

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 90 different services in 2015
(79 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
125
times performed,
20% of his services

1st 1st

most performed service for this provider most performed service in this state & specialty

87
patients got this service, 40% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$12,037.50an average of $96.30 per time performed $6,196.25
an average of $49.57 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
90
times performed,
15% of his services

2nd 3rd

most performed service for this provider most performed service in this state & specialty

61
patients got this service, 28% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$13,570.20an average of $150.78 per time performed $6,417.00
an average of $71.30 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
66
times performed,
11% of his services

3rd 9th

most performed service for this provider most performed service in this state & specialty

66
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,126.74an average of $198.89 per time performed $6,814.50
an average of $103.25 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
38
times performed,
6% of his services

4th 2nd

most performed service for this provider most performed service in this state & specialty

22
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.6)
$3,724.00an average of $98.00 per time performed $2,073.28
an average of $54.56 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
34
times performed,
6% of his services

5th 11th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,970.00an average of $205.00 per time performed $3,506.42
an average of $103.13 per time performed
medical
SKIN, HAIR AND NAILS

Muscle flap wound repair at trunk

Service Code: 15734
Performed in a facility
30
times performed,
5% of his services

6th Alert

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

15
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$108,000.00an average of $3,600.00 per time performed $18,529.50
an average of $617.65 per time performed
medical
CARDIOVASCULAR SYSTEM

Destruction of insufficient vein of arm or leg, accessed ... +

Destruction of insufficient vein of arm or leg, accessed through the skin ×

Service Code: 36475
Performed in a facility
20
times performed,
3% of his services

7th Alert

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

11
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
$54,300.00an average of $2,715.00 per time performed $3,991.60
an average of $199.58 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
14
times performed,
2% of his services

8th 21st

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,724.00an average of $266.00 per time performed $2,143.68
an average of $153.12 per time performed
medical
DIGESTIVE SYSTEM

Removal of gallbladder using an endoscope

Service Code: 47562
Performed in a facility
12
times performed,
2% of his services

9th 20th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$22,200.00an average of $1,850.00 per time performed $5,613.36
an average of $467.78 per time performed
medical
DIGESTIVE SYSTEM

Removal of gallbladder with x-ray study of bile ducts usi... +

Removal of gallbladder with x-ray study of bile ducts using endoscope ×

Service Code: 47563
Performed in a facility
12
times performed,
2% of his services

10th 32nd

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,814.04an average of $2,151.17 per time performed $5,661.48
an average of $471.79 per time performed
medical
DIGESTIVE SYSTEM

Placement of mesh to repair incisional or abdominal herni... +

Placement of mesh to repair incisional or abdominal hernia, open procedure ×

Service Code: 49568
Performed in a facility
12
times performed,
2% of his services

11th Alert

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

12
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$6,240.00an average of $520.00 per time performed $2,063.04
an average of $171.92 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

This provider did not bill Medicare for any 5’s.

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Dennis Layson Fernandez
Average for Surgery Providers in Alabama

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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